NPIMap

Organization Active NPI

Rite Aid

  • Pharmacist
  • Susanville, CA
National Provider Identifier
1124319264
Registry record updated Apr 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35354 Issued in CA
Legal business name
RITE AID
Practice address
2960 Main St
Susanville, CA 96130-4730
Phone
(530) 257-0603
Fax
(530) 257-2737
NPI assigned
Apr 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Frank Edwin Maurino, RPH
Title
Pharmacist
Phone
(530) 310-1717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 35354 CA Primary
General Acute Care Hospital 282N00000X 35354 CA

Addresses

Primary practice location

2960 Main St
Susanville, CA 96130-4730

Mailing address

1450 Paiute LN
Susanville, CA 96130-3585
Phone (530) 310-1717

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303603200000",
    "number": "1124319264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PAIUTE LN",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303585",
            "telephone_number": "530-310-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MAIN ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304730",
            "telephone_number": "530-257-0603",
            "fax_number": "530-257-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A",
        "authorized_official_last_name": "MAURINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "530-310-1717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "35354",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "35354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.